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Erschienen in: Osteoporosis International 9/2010

01.09.2010 | Original Article

The association between osteoporosis and static balance in elderly women

verfasst von: D. C. Abreu, D. C. Trevisan, G. C. Costa, F. M. Vasconcelos, M. M. Gomes, A. A. Carneiro

Erschienen in: Osteoporosis International | Ausgabe 9/2010

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Abstract

Summary

This study aimed at answering the question: do people with high bone loss have greater postural instability? Groups were separated into group 1: women with normal bone mineral density, group 2: women with osteopenia, and group 3: women with osteoporosis. The balance was evaluated in four upright postural situations. Osteoporosis group had greater oscillation in the anteroposterior displacement in all situations compared to control group and the greatest mediolateral displacement in all situations compared to other groups.

Introduction

It is not known whether the presence of osteoporosis can be considered a factor aggravating the postural control. This study aimed at answering the question: do people with high bone loss have greater postural instability?

Methods

This study was divided into three groups: group 1 (n = 20) consisting of women with normal bone mineral density, group 2 (n = 20) women with osteopenia, and group 3 (n = 20) women with osteoporosis. All the participants were submitted to evaluation of the balance using the Polhemus system in four upright postural situations.

Results

Osteoporosis group had greater oscillation in the anteroposterior displacement in all situations compared to control group. The osteoporosis group also showed the greatest mediolateral displacement in all situations compared to other groups.

Conclusion

The results suggest that osteoporotic women had the worst balance, possibly due to the more pronounced body changes compared to non-osteoporotic women.
Literatur
2.
Zurück zum Zitat Shimada H, Obuchi S, Kamide N, Shiba Y, Okamoto M, Kakurai S (2003) Relationship with dynamic balance function during standing and walking. Am J Phys Med Rehabil 82:511–516CrossRefPubMed Shimada H, Obuchi S, Kamide N, Shiba Y, Okamoto M, Kakurai S (2003) Relationship with dynamic balance function during standing and walking. Am J Phys Med Rehabil 82:511–516CrossRefPubMed
3.
Zurück zum Zitat Carvalho MI (2006) Osteoporose: visão do ortopedista. Rev Bras Ortop 41(4):91–97 Carvalho MI (2006) Osteoporose: visão do ortopedista. Rev Bras Ortop 41(4):91–97
4.
Zurück zum Zitat Myakoshi N, Itoi E, Kobayashi M, Kodama H (2003) Impacto f postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 14(12):1007–1012CrossRef Myakoshi N, Itoi E, Kobayashi M, Kodama H (2003) Impacto f postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 14(12):1007–1012CrossRef
5.
Zurück zum Zitat Laughton CA, Slavin M, Katdare K et al (2003) Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture 18(2):101–108CrossRefPubMed Laughton CA, Slavin M, Katdare K et al (2003) Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture 18(2):101–108CrossRefPubMed
6.
Zurück zum Zitat Horak FB (2006) Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and Agin 35(S2):ii7–ii11CrossRef Horak FB (2006) Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and Agin 35(S2):ii7–ii11CrossRef
7.
Zurück zum Zitat Arampatzis A, Karamanidis K, Mademli L (2008) Deficits in the way to achieve balance related to mechanisms of dynamic stability control in the elderly. J Biomech 41:1754–1761CrossRefPubMed Arampatzis A, Karamanidis K, Mademli L (2008) Deficits in the way to achieve balance related to mechanisms of dynamic stability control in the elderly. J Biomech 41:1754–1761CrossRefPubMed
8.
Zurück zum Zitat Shumway-Cook A, Woollacott MH (2003) Controle Motor — Teoria e aplicações práticas, 2nd edn. Manole, São Paulo Shumway-Cook A, Woollacott MH (2003) Controle Motor — Teoria e aplicações práticas, 2nd edn. Manole, São Paulo
9.
Zurück zum Zitat Holviala JHS, Sallinen JM, Kraemer WJ, Alen MJ, Hakkinen KKT (2006) Effects of strength training on muscle strength characteristics, functional capabilities, and balance in middle-aged and older women. J Strength Cond Res 20(2):336–344CrossRefPubMed Holviala JHS, Sallinen JM, Kraemer WJ, Alen MJ, Hakkinen KKT (2006) Effects of strength training on muscle strength characteristics, functional capabilities, and balance in middle-aged and older women. J Strength Cond Res 20(2):336–344CrossRefPubMed
10.
Zurück zum Zitat Deshpande N, Patla AE (2007) Visual-Vestibular interaction during goal directed locomotion: effects of aging and blurring vision. Exp Brain Res 176(1):809–824 Deshpande N, Patla AE (2007) Visual-Vestibular interaction during goal directed locomotion: effects of aging and blurring vision. Exp Brain Res 176(1):809–824
11.
Zurück zum Zitat Buatois S, Gueguen R, Gauchard GC, Benetos A, Perrin PP (2006) Posturography and risk of recurrent falls in healthy non-institutionalized persons aged over 65. Gerontology 52:345–352CrossRefPubMed Buatois S, Gueguen R, Gauchard GC, Benetos A, Perrin PP (2006) Posturography and risk of recurrent falls in healthy non-institutionalized persons aged over 65. Gerontology 52:345–352CrossRefPubMed
12.
Zurück zum Zitat Gill J, Allum JH, Carpenter MG et al (2001) Trunk sway measures of postural stability during clinical balance tests: effects of age. J Gerontol A Biol Sci Med Sci 56(7):M438–M447PubMed Gill J, Allum JH, Carpenter MG et al (2001) Trunk sway measures of postural stability during clinical balance tests: effects of age. J Gerontol A Biol Sci Med Sci 56(7):M438–M447PubMed
13.
Zurück zum Zitat Lynn SG, Sinaki M, Westerlind KC (1997) Balance characteristics of persons with osteoporosis. Arch Phys Med Rehabil 78(3):273–277CrossRefPubMed Lynn SG, Sinaki M, Westerlind KC (1997) Balance characteristics of persons with osteoporosis. Arch Phys Med Rehabil 78(3):273–277CrossRefPubMed
14.
Zurück zum Zitat Liu-Ambrose T, Eng JJ, Khan KM, Carter ND, McKay HÁ (2003) Older women with osteoporosis have increased postural sway and weaker quadríceps strength than counterparts with normal boné mass: overlooked determinants of fracture risk. Journal of Gerontology 58A(9):862–866 Liu-Ambrose T, Eng JJ, Khan KM, Carter ND, McKay HÁ (2003) Older women with osteoporosis have increased postural sway and weaker quadríceps strength than counterparts with normal boné mass: overlooked determinants of fracture risk. Journal of Gerontology 58A(9):862–866
15.
Zurück zum Zitat Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR (2005) Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kiphotic posture and muscle strength. Osteoporos Int 16:1004–1010CrossRefPubMed Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR (2005) Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kiphotic posture and muscle strength. Osteoporos Int 16:1004–1010CrossRefPubMed
16.
Zurück zum Zitat Siris ES et al (2001) Identification and fractures outcomes of undiagnosed low bone mineral density in postmenopausal women. JAMA 286(22):2815–2822CrossRefPubMed Siris ES et al (2001) Identification and fractures outcomes of undiagnosed low bone mineral density in postmenopausal women. JAMA 286(22):2815–2822CrossRefPubMed
Metadaten
Titel
The association between osteoporosis and static balance in elderly women
verfasst von
D. C. Abreu
D. C. Trevisan
G. C. Costa
F. M. Vasconcelos
M. M. Gomes
A. A. Carneiro
Publikationsdatum
01.09.2010
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 9/2010
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-1117-5

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